Organization Active NPI

Mitcherling,Mitcherling & Johnson P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Baltimore, MD
National Provider Identifier
1376740365
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
4702 Issued in MD
Legal business name
MITCHERLING,MITCHERLING & JOHNSON P.A.
Practice address
1900 E Northern Pkwy
Suite 108
Baltimore, MD 21239-2113
Phone
(410) 323-3900
Fax
(410) 323-2267
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John J Mitcherling, DDSNPI 1871588202
Title
Oral Surgeon
Phone
(410) 323-3900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 4702 MD Primary

Addresses

Primary practice location

1900 E Northern Pkwy
Suite 108
Baltimore, MD 21239-2113

Mailing address

1900 E Northern Pkwy
Suite 108
Baltimore, MD 21239-2113
Phone (410) 323-3900

Other identifiers 3

IdentifierTypeStateIssuer
1356336499OtherMDNPI WILLIAM MITCHERLING
1467448092OtherMDNPI ROBERT JOHNSON
1871588202OtherMDNPI JOHN MITCHERLING

National Provider Directory

National Provider Directory

Locations

1900 E Northern Pkwy
#S108
Baltimore, MD 21239
Phone (410) 323-3900

3449 Wilkens Ave
Ste 106
Baltimore, MD 21229

9652 Belair Rd
Ste 1
Baltimore, MD 21236

1900 E Northern Pkwy
Ste 108
Baltimore, MD 21239
Phone (410) 323-3900

1205 York Rd
Ste 10
Lutherville, MD 21093
Phone (410) 337-2575

1205 York Rd
#S10
Luthvle Timon, MD 21093

9652 Belair Rd
Ste I
Nottingham, MD 21236

1205 York Rd
Timonium, MD 21093
Phone (410) 825-9580

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376740365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E NORTHERN PKWY",
            "address_2": "SUITE 108",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392113",
            "telephone_number": "410-323-3900",
            "fax_number": "410-323-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E NORTHERN PKWY",
            "address_2": "SUITE 108",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392113",
            "telephone_number": "410-323-3900",
            "fax_number": "410-323-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHERLING,MITCHERLING & JOHNSON P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITCHERLING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "410-323-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "4702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  WILLIAM MITCHERLING",
            "identifier": "1356336499",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  ROBERT JOHNSON",
            "identifier": "1467448092",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  JOHN MITCHERLING",
            "identifier": "1871588202",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.